Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.53 / $43.16 / $63.70	Facility		$1.53	$43.16	$63.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.84 / $1.49 / $2.38	Professional		$0.84	$1.49	$2.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $0.80 / $0.80	Professional		$0.80	$0.80	$0.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2.13 / $49.95 / $55.60	Facility		$2.13	$49.95	$55.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $0.80 / $2.58	Professional		$0.80	$0.80	$2.58
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.82 / $5.04 / $7.92	Facility		$1.82	$5.04	$7.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $1.74 / $5.04 / $11.88	Facility		$1.74	$5.04	$11.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $0.80 / $0.87	Professional		$0.80	$0.80	$0.87
United Facility/Professional Professional Modifier Low / Median / High Price $0.89 / $1.20 / $2.40	Professional		$0.89	$1.20	$2.40